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NPI Code Detail

MEDICARE: ANNA LAQUE

MEDICARE: ANNA LAQUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1107952TX

General Provider Information

NPI Number : 1366157760
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA LAQUE
Provider Business Mailing Address
First Line : 4501 MEDICAL CENTER DR STE 211
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-6800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5252 W UNIVERSITY DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-7822
Country : US
Telephone Number : 469-541-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2023
Last Update Date : 02/10/2026

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Directions to “ ANNA LAQUE ” Practice Location

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